Provider Demographics
NPI:1295101806
Name:THERAPY PARTNERS SOLUTIONS, LLC
Entity type:Organization
Organization Name:THERAPY PARTNERS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHADWICK
Authorized Official - Last Name:WHITEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:904-753-1624
Mailing Address - Street 1:PO BOX 1975
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-1975
Mailing Address - Country:US
Mailing Address - Phone:844-733-0211
Mailing Address - Fax:866-858-7371
Practice Address - Street 1:113 W CHIPOLA AVE STE 219
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-7512
Practice Address - Country:US
Practice Address - Phone:386-873-7590
Practice Address - Fax:866-237-9650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIN HIGH REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30674225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty